NR 667/ NR 667
NR 667 CEA FNP Capstone Practicum and
Intensive Final Exam || Chamberlian College Of
Nursing || Complete Comprehensive Questions and
Correct Verified Answers || 100% Guaranteed Pass
This Exam Contains:
❖NR 667 / NR 667
❖NR 667 CEA FNP Capstone Practicum and Intensive Final Exam
❖Chamberlian College of Nursing
❖Complete Comprehensive Questions and
Correct Verified Answers
❖100% Guaranteed Pass
, NR 667 CEA FNP Capstone Practicum and Intensive
Final Exam
1. The nurse practitioner assessing the patient with a rapid cardiac rhythm
may assess for a pulse deficit by auscultating the patient's heart while watch-
ing the EKG rhythm. Where would the S1 heart sounds correlate with the
electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
Answer> Peak of the R wave.
2. Michael, a 72 year old male patient who previously presented with stable
cardiac-type chest pain has underwent a stress test. He presents today to
review the stress test results, which show EKG findings of ST segment de-
pression during the exam in leads V3 and V4 as well as some concurrent chest
discomfort. Based on these findings, which of the following are NOT priority
medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
Answer> Check for thyroid dysfunction
,3. While examining a 53 year old female patient, you auscultate abnormal
breath sounds over all fields, and now assess transmission of voice sounds
by having the patient say "ee" while auscultating the chest with the diaphragm
of your stethoscope. Normally, you should auscultate a muffled "e" sound,
however, you hear hear a nasally "a" sound. Which one of the following will
you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
Answer> Positive for egophony
4. During a post-hospital discharge visit, you notice your 71 year old female
patient has been diagnosed with a "new murmur" found by the hospitalist dur-
ing their recent hospitalization for CHF exacerbation. In evaluating the patient,
during which phase of the cardiac cycle would you anticipate auscultation of a
S3 or S4 heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
Answer> Diastole
5. The point of maximum impulse (PMI) is MOST often palpable in healthy
adults when positioned in the supine or left lateral decubitus position. Which
one of the following locations is most commonly
described as the PMI in a
healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.
Answer> Left 5th intercostal space, midclavicular line
, 6. While assessing the 19 year old patient for a new onset cough, the nurse
practitioner may inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or consolidated
Answer> To identify if underlying tissue are air-filled, fluid-filled or consolidated
7. Your 42 year old male patient has been referred to your clinic for establish-
ing care and on his intake survey, you note he has documented diagnosis
of interstitial lung disease. You have decided to perform a diaphragmatic
excursion test on the patient. Which one of the following results would you
expect to see in this patient?
*Approximately equal level of change in the descent of the diaphragm bi-
laterally during maximal inspiration and expiration. with a decreased overall
inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm noted bilaterally on expiration,
though often much less on the right side due to the location of the heart and
great vessels.
*Much greater descent of the diaphragm on the right side due to the liver
present (two-three times larger).
*Absent or no change in movement of the diaphragm noted between full inspi-
ration and full expiration measurement.
Answer> Approximately equal level of 3change
/ 35 in the descent of the diaphragm
bilaterally during maximal inspiration and expiration. with a decreased overall
inspiratory capacity
8. Your 50 year old Caucasian male patient has not seen a primary care giver in
20+ years and is here for a history and physical examination. While examining
the head and face, you see your patient has nonpitting periorbital
NR 667 CEA FNP Capstone Practicum and
Intensive Final Exam || Chamberlian College Of
Nursing || Complete Comprehensive Questions and
Correct Verified Answers || 100% Guaranteed Pass
This Exam Contains:
❖NR 667 / NR 667
❖NR 667 CEA FNP Capstone Practicum and Intensive Final Exam
❖Chamberlian College of Nursing
❖Complete Comprehensive Questions and
Correct Verified Answers
❖100% Guaranteed Pass
, NR 667 CEA FNP Capstone Practicum and Intensive
Final Exam
1. The nurse practitioner assessing the patient with a rapid cardiac rhythm
may assess for a pulse deficit by auscultating the patient's heart while watch-
ing the EKG rhythm. Where would the S1 heart sounds correlate with the
electrocardiographic waves?
*At the end of the T wave.
*At the start of the T wave.
*Peak of the R wave.
*At the start of the P wave.
Answer> Peak of the R wave.
2. Michael, a 72 year old male patient who previously presented with stable
cardiac-type chest pain has underwent a stress test. He presents today to
review the stress test results, which show EKG findings of ST segment de-
pression during the exam in leads V3 and V4 as well as some concurrent chest
discomfort. Based on these findings, which of the following are NOT priority
medical decisions?
*Prescribe metoprolol (Lopressor) 12.5mg PO BID
*Prescribe aspirin 81mg PO daily
*Refer to cardiology for angiography
• Check for thyroid dysfunction
Answer> Check for thyroid dysfunction
,3. While examining a 53 year old female patient, you auscultate abnormal
breath sounds over all fields, and now assess transmission of voice sounds
by having the patient say "ee" while auscultating the chest with the diaphragm
of your stethoscope. Normally, you should auscultate a muffled "e" sound,
however, you hear hear a nasally "a" sound. Which one of the following will
you document is present?
*Positive stereognosis.
*Positive for egophony.
*Negative for bronchophony.
*Negative for egophony
Answer> Positive for egophony
4. During a post-hospital discharge visit, you notice your 71 year old female
patient has been diagnosed with a "new murmur" found by the hospitalist dur-
ing their recent hospitalization for CHF exacerbation. In evaluating the patient,
during which phase of the cardiac cycle would you anticipate auscultation of a
S3 or S4 heart sound?
*Diastole
*53 in systole while S4 in diastole
*Systole
*S4 in diastole while S3 in systole
Answer> Diastole
5. The point of maximum impulse (PMI) is MOST often palpable in healthy
adults when positioned in the supine or left lateral decubitus position. Which
one of the following locations is most commonly
described as the PMI in a
healthy adult?
*Left 2nd intercostal space, midaxillary line.
*Left 5th intercostal space, midclavicular line.
*Right 4th intercostal space, midaxillary line.
*Right 2nd intercostal space, midclavicular line.
Answer> Left 5th intercostal space, midclavicular line
, 6. While assessing the 19 year old patient for a new onset cough, the nurse
practitioner may inspect, auscultate, palpate, and/or percuss.
How does performing percussion of the thorax assist the provider during the
physical examination?
*To assist with the confirmation of cardiac origin of angina.
*To assess for deep-seated lesion and tumors.
*To assess for any pain or discomfort prior to palpitation of the chest wall.
*To identify if underlying tissue are air-filled, fluid-filled or consolidated
Answer> To identify if underlying tissue are air-filled, fluid-filled or consolidated
7. Your 42 year old male patient has been referred to your clinic for establish-
ing care and on his intake survey, you note he has documented diagnosis
of interstitial lung disease. You have decided to perform a diaphragmatic
excursion test on the patient. Which one of the following results would you
expect to see in this patient?
*Approximately equal level of change in the descent of the diaphragm bi-
laterally during maximal inspiration and expiration. with a decreased overall
inspiratory capacity.
*Ascension of 8-12 inches of the diaphragm noted bilaterally on expiration,
though often much less on the right side due to the location of the heart and
great vessels.
*Much greater descent of the diaphragm on the right side due to the liver
present (two-three times larger).
*Absent or no change in movement of the diaphragm noted between full inspi-
ration and full expiration measurement.
Answer> Approximately equal level of 3change
/ 35 in the descent of the diaphragm
bilaterally during maximal inspiration and expiration. with a decreased overall
inspiratory capacity
8. Your 50 year old Caucasian male patient has not seen a primary care giver in
20+ years and is here for a history and physical examination. While examining
the head and face, you see your patient has nonpitting periorbital
